Individual
DERRICK ARNOLD DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
1552 RAVINIA DR, CHULA VISTA, CA 91913-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001058
CA
Other
Enumeration date
03/07/2019
Last updated
01/23/2023
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